Request an LFR incident report

Your details

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Your full name Required

What is your connection to the incident? Required

Occupier or tenant

Owner

Insurance company

Solicitor

Coroner

Police

Housing Association or District Council

Neighbour

Other

Address Required

Postcode

Telephone Required

Email Required

This is the email address the incident report will be sent to.

Confirm email Required

This is the email address the incident report will be sent to.